Individual
MRS. ELIZABETH A WALSH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
81 HAYNES ST, MANCHESTER, CT 06040-4112
(860) 646-1222
Mailing address
122 VERNON BRANCH RD, COVENTRY, CT 06238-1027
(860) 742-8609
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001262
CT
Other
Enumeration date
03/29/2006
Last updated
07/08/2007
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